Title Page

  • Conducted on

  • Prepared by

  • Location
  • Building Type

  • Plot Number

Entry Protocol

  • All operatives understand COVID policy on distancing and operating procedures and have been issued with appropriate PPE for each task

  • All operatives have received appropriate training in relation to putting on and removing PPE

  • PPE worn: Gloves and full face visor, hi-viz vest, safety boots, hard hats as appropriate

  • All door furniture treated on entry with anti-viral solution and allowed 5 minute soak before wiping with blue roll

  • All door contact surfaces treated on entry with anti-viral solution and allowed 5 minute soak before wiping with blue roll

Front Entrance Porch

  • Porch supports and soffits clean and free from paint and debris

  • Canopy in good condition and free from debris

Front Door

  • Door furniture free from paint and debris

  • Glazing and beads free from paint and debris

  • Door frame and any sidelight complete and free from debris

  • Letter box and back flap fitted and free from debris

  • Door is clean and free from paint and debris

  • Door is in good condition and not dented or scratched

Odour

  • Do the premises smell clean and fresh with no foul odours

Entrance Hall

  • Floor clean and free from paint and debris

  • Door furniture free from paint and debris

  • Door frames, architraves and skirting free from paint and debris

  • Glazing free from scratches, clean and free from paint and debris

  • Window, window furniture and vents clean and free from paint and debris

  • Glazing and beads free from paint and debris

  • Powerpoints clean and free from paint and debris

  • Intruder alarm system clean and free from paint and debris

  • Light fittings and switches clean and free from paint and debris

Cloakroom

  • Floor complete free from paint and debris

  • Door furniture clean and free from paint and debris

  • Door frames, architraves and skirting free from paint and debris

  • Glazing free from scratches, clean and free from paint and debris

  • Window, window furniture and vents clean and free from paint and debris

  • Glazing and beads free from paint and debris

  • Sanitaryware including toilet seat clean and free from paint and debris

  • Light switch and / pull cord and extractor fan clean and free from paint and debris

  • Basin clean and free from paint and debris

Lounge

  • Floor complete clean and free from debris

  • Door furniture clean and free from paint and debris

  • Door frames, architraves and skirting free from paint and debris

  • Glazing free from scratches, clean and free from paint and debris

  • Window, window furniture and vents clean and free from paint and debris

  • Powerpoints clean and free from paint and debris

  • Fireplace and surround clean and free from paint and debris

  • Window cill clear of debris

  • Patio doors including glazing, locks and fittings clean and free from paint and debris

  • TV point clean and free from paint and debris

  • FibreNest point clean and free from paint and debris

  • Light fittings and switches clean and free from paint and debris

Cupboard Under Stairs

  • Floor clean and free from debris

  • Door furniture free from paint and debris

  • Door frames, architraves and skirting free from paint and debris

  • Consumer unit free of paint and debris

Dining Room

  • Floor clean and free from debris

  • Door furniture free from paint and debris

  • Door frames, architraves and skirting free from paint and debris

  • Glazing free from scratches, debris and clean

  • Window, window furniture and vents free from paint and debris

  • Powerpoints free from paint and debris

  • Window cill free from paint and debris

  • Patio doors including glazing, locks and fittings clean and free from paint and debris

  • Light fittings and switches clean and free from paint and debris

Family Room

  • Floor clean and free from paint and debris

  • Door furniture clean and free from paint and debris

  • Door frames, architraves and skirting clean and free from paint and debris

  • Glazing free from scratches, debris and clean

  • Window, window furniture and vents clean and free from paint and debris

  • Powerpoints clean and free from paint and debris

  • Window cill clean and free from paint and debris

  • Patio doors including glazing, locks and fittings clean and free from paint and debris

  • Light fittings and switches clean and free from paint and debris

Study

  • Floor clean and free from paint and debris

  • Door furniture clean and free from paint and debris

  • Door frames, architraves and skirting clean and free from paint and debris

  • Glazing free from scratches, debris and clean

  • Window, window furniture and vents clean and free from paint and debris

  • Powerpoints clean and free from paint and debris

  • Window cill clean and free from paint and debris

  • Patio doors including glazing, locks and fittings clean and free from paint and debris

  • Light switches and fittings clean and free from paint and debris

Kitchen

  • Floor clean and free from paint and debris

  • Door furniture clean and free from paint and debris

  • Door frames, architraves and skirting clean and free from paint and debris

  • Glazing free from scratches, debris and clean

  • Window, window furniture and vents clean and free from paint and debris

  • Powerpoints clean and free from paint and debris

  • Window cill clean and free from paint and debris

  • Patio doors including glazing, locks and fittings clean and free from paint and debris

  • Light fittings and switches clean and free from paint and debris

  • Sink clean, free from scratches and undented

  • Cooker clean and free from paint and debris

  • Dishwasher clean and free from paint and debris

  • Taps clean and free from paint and debris

  • Worktops clean and free from paint and debris

  • Wall units,, check all furniture, drawers shelves and doors clean and free from paint and debris

  • Base units , check all furniture, drawers shelves and doors clean and free from paint and debris

  • Drawers and doors clean and free from paint and debris

  • Plinths clean and free from paint and debris

  • Hob and oven clean and free from paint and debris

  • Fridge / freezer clean and free from paint and debris

  • Floor clean and free from paint and debris

Utility Room

  • Floor clean and free from paint and debris

  • Door furniture clean and free from paint and debris

  • Door frames, architraves and skirting complete and to a high standard and free from paint and debris

  • Glazing free from scratches, debris and clean

  • Window, window furniture and vents clean and free from paint and debris

  • Powerpoints clean and free from paint and debris

  • Window cill clean and free from paint and debris

  • Light fittings and switches clean and free from paint and debris

  • Sink clean and free from paint and debris

  • Boiler casing and programmer clean and free from paint and debris

  • Washing machine clean and free from paint and debris

  • Taps clean and free from paint and debris

  • Worktops clean and free from paint and debris

  • Wall units, check all furniture, drawers shelves and doors clean and free from paint and debris

  • Base units, check all furniture, drawers shelves and doors clean and free from paint and debris

  • Plinths clean and free from paint and debris

  • Hob and oven clean and free from paint and debris

  • Fridge / freezer clean and free from paint and debris

  • Floor even and clean and free from paint and debris

Back Door

  • Door furniture free from paint and debris

  • Glazing and beads free from paint and debris

  • Door frame and any sidelight complete and free from debris

  • Door is clean and free from paint and debris

Stairs and Landing

  • Floor clean and free from paint and debris

  • Door furniture clean and free from paint and debris

  • Door frames, architraves and skirting clean and free from paint and debris

  • Glazing free from scratches, clean and free from paint and debris

  • Window, window furniture and vents clean and free from paint and debris

  • Powerpoints clean and free from paint and debris

  • Window cill clean and free from paint and debris

  • Light fittings and switches clean and free from paint and debris

  • Quadrant / beading clean and free from paint and debris

  • Handrail clean and free from paint and debris

  • Spindles clean and free from paint and debris

  • Paintwork to staircase clean and free from paint and debris

  • Treads and risers clean and free from paint and debris

Bedroom 1

  • Floor complete clean and free from paint and debris

  • Door furniture clean and free from paint and debris

  • Door frames, architraves and skirting clean and free from paint and debris

  • Glazing free from scratches, clean and free from paint and debris

  • Window, window furniture and vents clean and free from paint and debris

  • Powerpoints clean and free from paint and debris

  • Window cill clean and free from paint and debris

  • Light fittings and switches clean and free from paint and debris

En-Suite Bathroom

  • Door furniture clean and free from paint and debris

  • Door frames, architraves and skirting clean and free from paint and debris

  • Glazing free from scratches, clean and free from paint and debris

  • Window, window furniture and vents clean and free from paint and debris

  • Window cill clean and free from paint and debris

  • Light fittings and switches clean and free from paint and debris

  • Extractor fan clean and free from paint and debris

  • Basin clean and free from paint and debris

  • Sanitaryware including toilet seat clean and free from paint and debris

  • Bath and panels, taps, plugs and chains clean and free from paint and debris

  • Wall tiling clean and free from paint and debris

  • Shower cubicle and / or frame clean and free from paint and debris

  • Shower tray clean and free from paint and debris

  • Shaver point and light clean and free from paint and debris

Family Bathroom

  • Floor clean and free from paint and debris

  • Door furniture clean and free from paint and debris

  • Door frames, architraves and skirting clean and free from paint and debris

  • Glazing free from scratches, clean and free from paint and debris

  • Window, window furniture and vents clean and free from paint and debris

  • Window cill clean and free from paint and debris

  • Light fittings and switches clean and free from paint and debris

  • Extractor fan clean and free from paint and debris

  • Basin clean and free from paint and debris

  • Sanitaryware including toilet seat clean and free from paint and debris

  • Bath and panels, taps, plugs and chains clean and free from paint and debris

  • Wall tiling clean and free from paint and debris

  • Shower cubicle or frame clean and free from paint and debris

  • Shower tray clean and free from paint and debris

  • Shaver point and light clean and free from paint and debris

Bedroom 2

  • Floor clean and free from paint and debris

  • Door furniture clean and free from paint and debris

  • Door frames, architraves and skirting clean and free from paint and debris

  • Glazing free from scratches, clean and free from paint and debris

  • Window, window furniture and vents clean and free from paint and debris

  • Powerpoints clean and free from paint and debris

  • Window cill clean and free from paint and debris

  • Light fittings and switches clean and free from paint and debris

Bedroom 3

  • Floor clean and free from paint and debris

  • Door furniture clean and free from paint and debris

  • Door frames, architraves and skirting clean and free from paint and debris

  • Glazing free from scratches, clean and free from paint and debris

  • Window, window furniture and vents clean and free from paint and debris

  • Powerpoints clean and free from paint and debris

  • Window cill clean and free from paint and debris

  • Light fittings and switches clean and free from paint and debris

Bedroom 4

  • Floor clean and free from paint and debris

  • Door furniture clean and free from paint and debris

  • Door frames, architraves and skirting clean and free from paint and debris

  • Glazing free from scratches, clean and free from paint and debris

  • Window, window furniture and vents clean and free from paint and debris

  • Powerpoints clean and free from paint and debris

  • Window cill clean and free from paint and debris

  • Light fittings and switches clean and free from paint and debris

External Doors, Glazing and Frames

  • All doors, doorframes, windows, glazing, arch formers cleared of mastic, debris and cleaned

Building Disinfection

  • PPE worn: Gloves, overshoes, MicroBan 1500 oversuit, FFP3 mask and full face visor

  • All door furniture treated with anti-viral solution and allowed 5 minute soak before wiping with blue roll

  • All door contact surfaces treated with anti-viral solution and allowed 5 minute soak before wiping with blue rolls

  • All flat surfaces treated with anti-viral solution and allowed 5 minute soak before wiping with blue roll

  • All tiled, porcelain and stainless surfaces treated with anti-viral solution and allowed 5 minute soak before wiping with blue roll

  • Front door closed and locked

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.